The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:3844] From: Dr William Cullen (Professor Cullen) / To: Dr John Gilchrist (of Speddoch) / Regarding: Mrs Blackstock (Patient) / 26 June? 1776 / (Outgoing)
Reply 'To Dr Gilchrist' concerning Mrs Blackstock who is diagnosed as having 'dropsy' on the brain.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 2 images for this document.
[Page 1]
[Page 2]
Metadata
| Field | Data |
|---|---|
| DOC ID | 3844 |
| RCPE Catalogue Number | CUL/1/1/7/65 |
| Main Language | English |
| Document Direction | Outgoing |
| Date | 26 June? 1776 |
| Annotation | None |
| Type | Scribal copy ( includes Casebook Entry) |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Reply 'To Dr Gilchrist' concerning Mrs Blackstock who is diagnosed as having 'dropsy' on the brain. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | No |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:174] |
Case of Mrs Blackstock who has various symptoms including painful legs and 'glandular' eruptions for which she has been given mercury. She is diagnosed as having 'dropsy' on the brain. |
4 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1] | Author | Dr William Cullen (Professor Cullen) |
| [PERS ID:115] | Addressee | Dr John Gilchrist (of Speddoch) |
| [PERS ID:612] | Patient | Mrs Blackstock |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
| [PERS ID:115] | Patient's Physician / Surgeon / Apothecary | Dr John Gilchrist (of Speddoch) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Cullen's House / Mint Close | Edinburgh | Edinburgh and East | Scotland | Europe | certain |
| Destination of Letter | Dumfries | Borders | Scotland | Europe | inferred |
Normalized Text
To Dr Gilchrist
I am obliged to you for your letter as I am always desirous of
knowing the Issue of cases & in Mrs Blackstocks there has been
some thing particular. I have had several instances of both
Delirium & Convulsions from water being poured upon the
brain in dropsical cases, but I have met with no instance of
an afflux & congestion of Blood in the Brain in dropsical
people as has certainly happened in this Case. I wonder however
that it has not occurred to me before as it is so easily
accounted before. It is certainly owing to a compression
[Page 2]
of the whole of the descending Aorta, which
like the ligature of Sylvius 1 must strongly deter¬
mine the Blood into the Vessels of the Head & in this
case the Stupor, increased frequency & Strength of Pulse
with the flushing of the face were were clear evidences
& that convulsions may follow such congestion we know
well. I am glad you
I am glad you found a Sensible effect of the Colchi¬
cum as it has been often disputed & it is certain that it is
in very different conditions at certain different times--
I thing you judged rightly in declining the Scammony in
the low state of your Patient it is certainly an Acrid
Purgative which Hydropics may often bear, but surely
not in the last stages of the distemper .- You are right
in thinking it comes to us in different conditions. In a
price Catalogue of Drugs, I have seen some athe of it
at two Shillings & other parts some at eight -----
Notes:
1: A reference to the 'aqueduct of Sylvius', part of the ventricular system of the brain, named after the Dutch physician and anatomist Fransciscus Sylvius (1614-1672).
Diplomatic Text
To Dr Gilchrist
I am obliged to you for your letter as I am always desirous of
knowing the Issue of cases & in Mrs Blackstocks there has been
some thing particular. I have had several instances of both
Delirium & Convulsions from water being poured upon the
brain in dropsical cases, but I have met with no instance of
an afflux & congestion of Blood in the Brain in dropsical
people as has certainly happened in this Case. I wonder however
that it has not occurred to me before as it is so easily
accounted before. It is certainly owing to a compression
[Page 2]
of the whole of the descending Aorta, which
like the ligature of Sylvius 1 must strongly deter¬
mine the Blood into the Vessels of the Head & in this
case the Stupor, increased frequency & Strength of Pulse
with the flushing of the face were were clear evidences
& that convulsions may follow such congestion we know
well. I am glad you
I am glad you found a Sensible effect of the Colchi¬
cum as it has been often disputed & it is certain that it is
in very different conditions at certain different times--
I thing you judged rightly in declining the Scammony in
the low state of your Patient it is certainly an Acrid
Purgative which Hydropics may often bear, but surely
not in the last stages of the distemper .- You are right
in thinking it comes to us in different conditions. In a
price Catalogue of Drugs, I have seen some athe of it
at two Shillings & other parts some at eight -----
Notes:
1: A reference to the 'aqueduct of Sylvius', part of the ventricular system of the brain, named after the Dutch physician and anatomist Fransciscus Sylvius (1614-1672).
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